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Use of additive manufacturing/3D printing for prosthetics has been gaining momentum within the marketplace, particularly among amputees who are unable to afford the high price point associated with conventional limb prosthetics. Adoption of upper limb prosthetics has been pervasive at hospitals, at a steadily increasing rate. FMI expects a higher rate of adoption across prosthetic clinics in the years to come. However, an expensive price point, coupled with mass production incompatibility, is most likely to limit rapid revenue growth of upper limb prosthetics market.

Several prominent players in the competitive landscape of upper limb prosthetics market are prioritizing new product launches eyeing the opportunities lying in competitive price ranges. While this strategy is likely to aid companies improve penetration into developing markets, others will also focus on development of convenient accessories to assist the usage of upper limb prosthetics – such as hand gloves.

As per FMI’s analysis, a considerable number of companies competing in upper limb prosthetics market are concentrating on providing rehabilitative prosthetic services and amputee care. Consistently increasing demand for prostheses following accidental and aging related disabilities will primarily push sales of upper limb prosthetics. Rapid surge in the number of orthopedic disorders and post-traumatic disabilities will also remain a key factor determining demand for upper limb prosthetics in the near future, according to the report.

Prosthetic Wrist to Hold over One-Fourth Market Share

Transradial disarticulation (below elbow) will remain the key indication generating maximum demand for upper limb prosthetics. The report points to a higher revenue share of over 1/4^th of the total value, collectively contributed by wrist disarticulation and transhumeral disarticulation (above elbow). Sale of partial hand has also been registering a moderately growing share in the market revenue.

Prosthetic wrist sales account for over a fourth of the total market value whereas, prosthetic arm is likely to develop highest-selling potential in the years to come. Prosthetic elbow and terminal devices are currently among highly sought after components of upper limb prosthetics after prosthetic wrist, according to FMI’s study. The combined revenue share of these two in the market has been anticipated to be more than 45% in 2019. However, prosthetic shoulders will also continue to experience moderate demand over the course of next few years.

Almost 2/5^th of the total demand for upper limb prosthetics is accounted by myoelectric prosthetic devices, followed by body powered counterparts. As per FMI’s analysis, passive prosthetic devices can be positioned as a relatively lucrative type of upper limb prosthetics.

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North America & Europe Hold over 55% Share in Market Value

While more than 55% share of the global market revenue is contributed by developed regional markets, the penetration of upper limb prosthetics within most of the developing regions remains in its latency. According to FMI’s study, the market in China, India, and some of the fast-developing economies in East and South Asia economies hints at promising growth prospects post 2019. The report attributes this growth to the sophistication of healthcare infrastructure, improvements in reimbursement scenario, rapid expansion of the patient pool, and the flourishing medical tourism sector.

Increasing per capita healthcare spending, spike in the private and public investments in R&D, and the influx of activities involving shifting of manufacturing bases to developing regional pockets have also been instrumental in establishing a positive growth outlook for upper limb prosthetics market in these regions.

FMI forecasts a 4.8% CAGR for the upper limb prosthetics market revenue over 2018-2028. The report has tracked some of the most prominent players active in the global upper limb prosthetics market, including Fillauer LLC, Touch Bionics Inc., Endolite India Ltd., College Park Industries, and Ottobock SE & Co. KGaA, among others.

Key SegmentBased on product type, the upper limb prosthetics market is segmented into

• passive upper limb prosthetics
• body powdered upper limb prosthetics
• myoelectric upper limb prosthetics
• hybrid upper limb prosthetics.

Based on component, the upper limb prosthetics market is segmented into

• prosthetic wrists
• prosthetic elbows
• prosthetic shoulders
• prosthetic arms
• terminal devices.

Based on indication, the upper limb prosthetics market is segmented into

• forequarter amputations
• shoulder disarticulation
• transhumeral disarticulation
• elbow disarticulation
• transradial disarticulation
• wrist disarticulation
• partial hand
• fingers amputations.

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Based on end user, the upper limb prosthetics market is segmented into

• hospitals
• prosthetic clinics
• rehabilitation centers

Tattoo removal lasers have been incorporating the latest laser technologies specific to tattoo removal procedures. Constant developments in the tattoo removal lasers landscape, increase in product penetration across different regions, and increasing government support for R&D of innovative tattoo removal lasers will remain key demand determinants in tattoo removal lasers market.

Several new technologies have been contributing to the revenue growth of tattoo removal lasers market. However, picosecond tattoo removal lasers are extremely expensive. A combination of wavelengths has been in high demand for tattoo removal. For instance, according to a research study conducted on five patients by the Laser Health Academy, better clearance was achieved with a combination of 1,550 nm non-ablative fractional laser+YAG laser as compared to other tattoo removal lasers. The combination of YAG+YAG also resulted in shorter recovery time.

According to research studies conducted on tattoo removal lasers, a combination of QS Nd: YAG (1064 nm) and CO2 lasers for tattoo removal also resulted in a significantly high improvement on the combination side for Indian skin. Combination of tattoo removal techniques is being perceived as more effective than only Q-S tattoo removal lasers, as the former reduces the need for multiple sessions.

Moreover, combination tattoo removal lasers have not only reduced the number of sessions required, but also cut costs and reduced adverse effects such as hyper-pigmentation, long-going inflammatory responses, and bulla formation. Extensive research on the efficacy of these combination tattoo removal lasers are warranted, specifically considering the high patient demand for tattoo clearance. Thus, the high demand for combination tattoo removal lasers has consistently driven the tattoo removal lasers market.

However, tattoo removal lasers work differently on different skin types, which may involve multiple adverse effects. Tattoo removal lasers that involve Q-switched also require eye protection for the prevention of retinal damage. Q-switched ruby tattoo removal lasers are linked with high clearance rates but are also contradictory because of the high incidence of prolonged hypopigmentation. Such adverse effects of tattoo removal lasers will remain are expected to hamper the growth of the tattoo removal lasers market during the forecast period.

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The tattoo removal lasers market report tracks some of the key companies operating in the tattoo removal lasers market, which include Hologic Inc. (Cynosure), Shanghai Fosun Pharmaceutical（Group）Co., Ltd. (Alma Lasers), Cutera,  Syneron® Medical Ltd., Fotona d.o.o., LUTRONIC, Lumenis, El.En. S.p.A. (Asclepion Laser Technologies GmbH), and Lynton Lasers.

Some of the commonplace complications that result post tattoo removal lasers treatment include prolonged erythema, hyperpigmentation, hypertrophic scar formation, and disseminated infection. On the other side, complications associated with fractional lasers include transient pigmentary changes, mild fibrosis, and hypopigmentation. Though most of the adverse effects associated with tattoo removal lasers can be cured within a short span of time, some of them may lead to serious complications in terms of skin texture and pigmentation.

Key SegmentBased on product type

• Q-switched tattoo removal lasers
  • Q-switched Nd:YAG
  • ruby
  • alexandrite tattoo removal lasers
• picosecond tattoo removal lasers
• combination tattoo removal lasers

Based on end use

• aesthetic clinics
• tattoo studios

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Based on regions

• Europe
• Latin America
• North America
• East Asia
• Oceania
• South Asia
• MEA (Middle East & Africa).

Increasing acceptance of the retail clinics concept, rising awareness about cost related advantages, and improving government support for walk-in clinics will collectively supplement the growth of retail clinics market over the course of coming years. The report opines that the role of governments will be vital in popularization of retail clinics, particularly in developing regional markets.

Convenience & Cost Benefit Collectively Pushing Prospects of Retail ClinicsRetail clinics follow a holistic care approach. In addition, their partnership with various Telehealth vendors such as Teladoc and Doctor on Demand enable healthcare delivery and services at any given place and time. For Instance, an E-commerce channel is being implemented by the US-based CVS Health, one of the leaders in the MinuteClinic chain of retail clinics.

The report has cited top three factors capturing attention of increasing consumers –

1.  Quality care

2.  Ease of access

3.  Cost efficiency and transparency

The growing demand for healthcare at relatively lesser service costs will continue to favor the growth of retail clinics market during the forecast period. A lot of major healthcare payers are considering and including retail clinics in their healthcare provider networks, motivating enrolees to opt for these clinics for convenience and quality of care.

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Challenges to Retail Clinics Penetration Still Prevail, in Developing RegionsDeveloped regions, the key areas for retail clinics market, account for over 80% of the global revenue. The report envisages significant growth potential in emerging East Asian economies for the retail clinics market, over the projection period.

Retail clinics have been attracting a wide consumer base across the US and the number is actively growing in other key markets such as Europe and China. However, the outreach of retail clinics continues to face challenges due to poor monitoring of penetration into several developing as well as underdeveloped regions. While retail clinics have gained attention since the past few years and are expanding their offerings prudently at a rapid pace, the report highlights that this prompts at an increased need for regulation checks over the coming years.

Retail clinics are positioning themselves to play a crucial role in the delivery of primary care services, worldwide. This trend in the retail clinics market is expected to increase predominantly in developing regions. The potential opportunities will also create long-term challenges facing retailers, clinical laboratories, healthcare policy makers, and pathologists, as suggested by the report.

Key Players Keen on Investing Efforts in Customer AdherencePatients face difficulties with respect to filing specialty prescriptions, which further affects their will for adherence. CVS Health also piloted a Specialty Connect Program to overcome hindrances in adherence. This program is claimed to enable patients to drop their prescriptions at any given CVS Health store and pick up their medicines once ready. The program has also initiated the delivery of these medicines at their houses or any clinician’s office.

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Retail Clinics Market: Segmentationon the basis of application

• point-of-care diagnostics
• clinical chemistry
• immunoassay
• vaccinations
• others.

on the basis of distribution channel

• retail pharmacies
• drug stores
• grocery chain
• big box stores.

on the basis of ownership type

• retail-owned retail clinics
• hospital-owned retail clinics

Dialysis continues to be highly preferred for effective treatment of chronic kidney diseases (CKD) among the geriatric population, thereby generating substantial demand for re-usable dialysis equipment. This, in turn, is foreseen to create revenue-generating opportunities for the companies operating in the dialyzer reprocessing machines and concentrates market.

North America Continues to Mark the most Significant Position in MarketAccording to the report, rising instances of renal disorders, such as end stage renal disease (ESRD) and chronic kidney disease (CKD), are among the key factors spurring growth of dialyzer reprocessing machines and concentrates market. Dialysis, being the most accessible treatment for kidney diseases, will thus continue to add to the overall importance of re-usable dialysis equipment. This, in turn, will create favourable grounds for adoption of global dialyzer reprocessing machines and concentrates market.

In 2015, it was estimated by the National Kidney Foundation in the US that approximately 468,000 ESRD patients are reported to be on dialysis in the US alone. North America will thus continue to be a prominent region in the global dialyzer reprocessing machines and concentrates market, followed by South Asia. In 2018, North America accounted for a revenue share of around 24% in dialyzer reprocessing machines and concentrates market, backed by a robust healthcare infrastructure.

India, Sri Lanka, and, Thailand on the other side are likely to emerge as potential countries brimming with prime opportunities for the companies operating in the dialyzer reprocessing machines and concentrates market.

According to the report, introduction of technologically advanced medical equipment all-aligned with the evolving healthcare models is further expected to boost the growth of dialyzer reprocessing machines and concentrates market. dialyzer reprocessing machines and concentrates enable automated cleaning and reprocessing of the dialysis units, unlike the traditional re-usable systems that required manual handling. As per the research study, dialyzer reprocessing machines provide immense scope for direct handling of the dialysis systems using automated digital reprocessors, which is an added advantage boosting popularity of dialyzer reprocessing machines and concentrates over the conventional systems.

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The report opines that the end-users will continue to showcase marked preferences for hemodialysis concentrates among all other product types in the dialyzer reprocessing machines and concentrates market space. Hospitals are anticipated to lead in terms of adoption of dialyzer reprocessing machines and concentrates, followed by dialysis centres.

Key Manufacturers Emphasize Stronger Distribution Network for Better Regional FootholdThe dialyzer reprocessing machines and concentrates market report profiles few of the key companies operating in the global market space with robust product portfolios. Some of these key players in the dialyzer reprocessing machines and concentrates market include CURA Healthcare, MEDIVATORS Inc., Fresenius Medical Care, Baxter, Anjue Medical Equipment Co., Ltd., B. Braun Melsungen AG, Nipro Corporation, Cantel Medical, AIN MEDICARE SDN BHD and Rockwell Medical.

A majority of the regional players in the dialyzer reprocessing machines and concentrates market are focused on increasing their product reach and connectivity with the regional distributors of dialyzer reprocessing machines and concentrates. The dialyzer reprocessing machines and concentrates manufacturers are focused to strengthen their foothold in potential dialyzer reprocessing machines and concentrates markets such as India, China, Thailand, Bangladesh, and Argentina by expanding their sales and distribution channels across these countries.

To gain additional insights on the various other aspects of global dialyzer reprocessing machines & concentrates market landscape

Global Dialyzer Reprocessing Machines and Concentrates Market: SegmentationAnalysis by Product

• Dialyzer Reprocessing Machine
• Hemodialysis Concentrates
  • Acetic Acid Based Concentrates
  • Citric Acid Based Concentrates
  • Bicarbonates Based Concentrates
  • Calcium Free Based Concentrates
  • Potassium free Based Concentrates
• Bicarbonate Cartridges
• Cold Sterilants and Hot Disinfectants

Analysis by Form

• Liquid
• Powder

Analysis by End Use

• Hospitals
• Dialysis Centers
• Ambulatory Surgical Centers

Analysis by Region

• North America
• Latin America
• Europe
• East Asia
• South Asia
• Oceania
• Middle East & Africa

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Companies Eyeing Untapped Opportunities in Cost-sensitive Regional MarketsThe current adoption pattern among healthcare professionals favour the use of reposable medical devices, a trend that is most certainly observed in developing countries, to complement the cost factor and availability. In contrast, most of the deflectable catheters used are one-time use products. Factors like blood, debris prevent using reposable deflectable catheters in operations as critical as electrophysiology.

The usage of reposable deflectable catheters is significantly higher in developing economies with inadequate resources, where the cost of treatment can be significantly high, which is unfavourable for patients from poor backgrounds. The present cost structure with the use of reposable deflectable catheters makes it feasible for a sizeable population to opt for low-cost treatment options, which help boost the adoption rate, and thereby expand the consumer pool.

At present, there are only a few companies offering reposable deflectable catheters, and none of the major players are into developing reposable devices. As per the report, a comparatively smaller company, CathRx, has a similar reposable product, Khelix, which is considered to be the first ‘reposable’ diagnostic and therapeutic catheter for the treatment of cardiac arrhythmias.

Acquisitions & Collaborations Playing Decisive Role in Shaping Deflectable Catheters Market StructureThe affective adjustments and development observed in the parent market influences the deflectable catheters market. The recent trend of involving digital methods for diagnosing cardiac problems is also changing the treatment pattern. All these trends are more governed by the top market leaders in the cardiology market. With abundant resources and investment plans, they manipulate the industry in a way in which no other smaller or regional manufacturer is capable of keeping pace with them.

The trend of acquisition and forming a strategic partnership is positive delivering financial results. For example, Abbott’s acquisition of St. Jude Medical resulted in the consolidation of the 2nd and 4th largest cardiology market players. Moreover, the acquisition of specific treatment technologies has also been observed in the deflectable catheter market, and there has been an increase in the number of players expanding their product portfolio for the treatment of atrial fibrillation/atrial flutter.

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Deflectable Catheters Market: Segmental AnalysisOn the basis of product type, the deflectable catheters market has been segmented into uni-directional deflectable catheters, bi-directional deflectable catheters, and multi-directional deflectable catheters. Bi-directional deflectable catheters lead the market due to their high adoption rate and availability.

Based on application, the deflectable catheters market has been segmented into coronary interventions, electrophysiology, diagnostics imaging, and peripheral interventions. In terms of revenue, the electrophysiology segment is expected to have a major share in the deflectable catheters market due to an increase in the number of procedures being carried out by deflectable catheters.

On the basis of end user, the deflectable catheters market has been categorised into hospitals, office-based clinics, ambulatory surgical centres, and independent catheterisation labs. Independent catheterisation labs are expected to witness significant growth, which is driven by an increase in the number of the same.

Some of the key players in the deflectable catheters market include Medtronic Plc, Merit Medical Systems, JOHNSON & JOHNSON, Teleflex Incorporated, Boston Scientific Corporation, Biomerics LLC, OSYPKA AG, Abbott, Japan Lifeline Co., CathRx Ltd., and Biotronik SE & Co. KG.

Key SegmentBy Product

• Uni-Directional Deflectable Catheters
• Bi-Directional Deflectable Catheters
• Multi-Directional Deflectable Catheters

By End User

• Hospitals
• Office Based Clinics
• Ambulatory Surgical Centers
• Independent Catheterization Labs

By Application

• Coronary Interventions
• Electrophysiology
• Diagnostics Imaging
• Peripheral Interventions

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By Region

• North America
• Latin America
• Europe
• South Asia
• East Asia
• Oceania
• MEA